The Ponseti technique and improved ankle dorsiflexion in children with relapsed clubfoot: a retrospective data analysis

Erika Marquez, Verity Pacey, Alison Chivers, Paul Gibbons, Kelly Gray

Research output: Contribution to journalArticleResearchpeer-review

Abstract

This study quantifies the change in passive ankle range of motion following modified Ponseti casting in children with relapsed idiopathic clubfoot. Fifty-three cases (feet) were retrospectively reviewed, with 6-month follow-up data available for 72% of participants. The median improvement in dorsiflexion was 15° (95% confidence interval: 12.5°-17.5°, P≤0.05), with 85% achieving dorsiflexion ≥10°. At the 6-month follow-up, dorsiflexion remained significantly improved and 12 feet (32%) presented with subsequent relapse. Nine were referred for further casting and three were recommended for extra-articular surgery. Repeat modified Ponseti management clinically and statistically improves passive ankle dorsiflexion in relapsed idiopathic clubfoot.

LanguageEnglish
Pages116-121
Number of pages6
JournalJournal of Pediatric Orthopaedics Part B
Volume26
Issue number2
DOIs
Publication statusPublished - 2017

Fingerprint

Clubfoot
Ankle
Articular Range of Motion
Foot
Joints
Confidence Intervals
Recurrence

Keywords

  • Clubfoot
  • Dorsiflexion
  • Ponseti
  • Relapse

Cite this

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abstract = "This study quantifies the change in passive ankle range of motion following modified Ponseti casting in children with relapsed idiopathic clubfoot. Fifty-three cases (feet) were retrospectively reviewed, with 6-month follow-up data available for 72{\%} of participants. The median improvement in dorsiflexion was 15° (95{\%} confidence interval: 12.5°-17.5°, P≤0.05), with 85{\%} achieving dorsiflexion ≥10°. At the 6-month follow-up, dorsiflexion remained significantly improved and 12 feet (32{\%}) presented with subsequent relapse. Nine were referred for further casting and three were recommended for extra-articular surgery. Repeat modified Ponseti management clinically and statistically improves passive ankle dorsiflexion in relapsed idiopathic clubfoot.",
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The Ponseti technique and improved ankle dorsiflexion in children with relapsed clubfoot : a retrospective data analysis. / Marquez, Erika; Pacey, Verity; Chivers, Alison; Gibbons, Paul; Gray, Kelly.

In: Journal of Pediatric Orthopaedics Part B, Vol. 26, No. 2, 2017, p. 116-121.

Research output: Contribution to journalArticleResearchpeer-review

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